MICHELLE GARDNER
Physician Assistant
Active
Individual
NPI: 1891073102
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | - |
Frequently Asked Questions
NPI 1891073102 is the National Provider Identifier for MICHELLE GARDNER, a Physician Assistant provider located in Peoria, IL. This NPI was enumerated on August 3, 2011.
MICHELLE GARDNER practices at 8600 STATE ROUTE 91 STE 400, Peoria, IL 61615.
Quick Facts
- NPI
- 1891073102
- Type
- Individual
- Enumerated
- Aug 3, 2011
- Last Updated
- Sep 2, 2021
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